General Donation Form
Donor: _______________________________________________
Address: ______________________________________________
City: _________________________________ State:___________ Zip: ______________
Phone #: __________________________________
Email: ___________________________________________________________________
____________________________________________________________________________________
Enclosed is my gift of $________________
I want to pledge $______________ for ____________months. Please bill me.
Please direct my donation to: _____Endowment Fund _____General Fund _____Captial Improvements
or _____ Memorial or Special Tribute in honor of:__________________________________________
____________________________________________________________________________________
Make checks payable to:
National Orphan Train Complex
P.O.. Box 322
Concordia, KS 66901